The nurse is caring for an older patient who has been the victim of elder abuse by an adult son. According to the transgenerational violence theory of elder mistreatment, which situation would have occurred with the patient?
1. The son is an alcoholic.
2. The care of the patient has overwhelmed the son.
3. The patient was abusive to the son when he was a child.
4. As a child, the son witnessed the father beating the mother.
Question 2A client with chronic back pain questions using Reiki. What information should be provided to the client?
A) There are no identified adverse side effects.
B) Taking Senna may help reduce potential complications.
C) Small, frequent meals will reduce gastrointestinal upset.
D) Use is limited to 6-month intervals.
Question 3The adult daughter of an older patient is researching viable skilled facilities to have the patient admitted for long-term care needs. This research has not revealed much information about institutional abuse.
Why is this information not readily available to the daughter? Standard Text: Select all that apply. 1. Residents may fear retribution.
2. Managers fear adverse publicity.
3. Staff members fear losing their jobs.
4. Family members fear having to find a new agency for the patient.
5. Billing department members fear not getting paid for services provided to patients.
Question 4Topical capsacian has been prescribed to manage osteoarthritis-related pain. When providing education related to its use, which of the following statements indicates the need for further education?
A) I may notice a warm sensation when the patch is applied.
B) This medication is considered a nonsteroidal anti-inflammatory medication.
C) The associated burning will subside after repeated usage.
D) This medication comes from cayenne pepper.
Question 5A nurse is caring for a 70-year-old client with pain related to osteoarthritis. The pain is relatively constant. The client is prescribed pharmacological treatment for the pain.
In suggesting alternative therapies to the client, the nurse would consider their effectiveness to be
A) less effective in the elderly.
B) greater when used in conjunction with pharmacological therapy.
C) of no difference.
D) more effective in the elderly.
Question 6The home care nurse is preparing to visit an older female patient who lives in her son's home. Prior to the visit, which risk factors for elder abuse will the nurse review?
1. Male gender
2. Hispanic race
3. Impaired cognitive status
4. High socioeconomic status
Question 7A home care nurse is completing a follow-up visit of an 82-year-old client who is taking MS Contin for pain related to prostate cancer. During the visit, the client describes decrease in appetite and difficulty having a bowel movement.
The client states the symptoms have developed gradually during the past 3 days. What interventions would the nurse take?
A) send the client to the emergency department for evaluation
B) ask the wife to prepare the client's favorite foods
C) ask the client for the medication list and review how the client is taking pain medications
D) tell the client that this is normal and should not be a concern unless it lasted longer than a week
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